STACY A COSTIDAKIS - Registered Nurse License in Indiana | # 041246265

STACY A COSTIDAKIS

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041246265

License Status

NOT RENEWED

Business

N

First Name

STACY A

Last Name

COSTIDAKIS

Business Name

STACY A COSTIDAKIS

Original Issue Date

12/02/1987

Effective Date

12/02/1987

Expiration Date

05/31/1990

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006